- Molina Healthcare (Detroit, MI)
- …RN license in the state of MI. This position will support our MMP ( Medicaid Medicare Population) will be supporting DSNP. This position will have a case load ... and manage members enrolled in this program . We are looking for Registered Nurses who have...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
- Prime Therapeutics (Lansing, MI)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- Humana (Lansing, MI)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...This position will be part of our Special Needs Program (SNP) team. All of our SNP RN Care… more
- Molina Healthcare (MI)
- …Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare, Marketplace and/or other government-sponsored program ), or ... with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the… more
- Henry Ford Health System (Detroit, MI)
- Your future starts here! Don't miss our Canadian Hiring Event on February 27thfrom 1 :30PM to 6:00PM at the Caboto Club in Windsor and join us for an exclusive ... Eric Wallis, SVP and CNO, from 12:30 PM - 1 :30 PM! Meet our recruiters, hiring leaders, immigration attorneys,...by following this link: qrco.de/bffvep Job Summary: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient… more
- Danaher Corporation (Detroit, MI)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... Communicate regional and local coverage and reimbursement issues for Medicare, Medicaid and Commercial payers through internal meetings, payer research, and customer… more
- Sevita (Ypsilanti, MI)
- …services for infants, children, adolescents, Military Service Members and Veterans. **Case Manager ** The Case Manager meets and works with individuals to ... care and participant objectives. + Assist individuals in obtaining benefits ( Medicaid , Medicare, Social Security, private insurance) and maintain current knowledge… more
- Gentiva (Fremont, MI)
- …+ Current RN licensure in the state of employment + Graduate of accredited nursing program + A minimum of one ( 1 ) year experience as an RN, either ... **Overview** The **Afterhours Care Manager RN** is responsible for identifying and coordinating patient/family needs after hours (or during alternative scheduling)… more
- United Therapeutics (Detroit, MI)
- …collaborative and innovative where you can showcase your expertise. The Therapy Access Manager (TAM) is a customer-facing role that will be responsible for managing ... process, specialty pharmacies, field reimbursement services, and UT's patient support program . Advise on patient level reimbursement issues in compliance with… more
- Humana (Lansing, MI)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied...associate (Support SS) in our Special Needs Plan (SNP) program and serves as part of an interdisciplinary care… more
